19-54155349-G-A

Variant summary

Our verdict is Likely pathogenic. Variant got 7 ACMG points: 7P and 0B. PM1PM2PM5PP2

The ENST00000221232.11(CNOT3):​c.2204G>A​(p.Arg735Gln) variant causes a missense change involving the alteration of a conserved nucleotide. The variant was absent in control chromosomes in GnomAD project. Variant has been reported in ClinVar as Uncertain significance (★). Another variant affecting the same amino acid position, but resulting in a different missense (i.e. R735L) has been classified as Likely pathogenic.

Frequency

Genomes: not found (cov: 33)

Consequence

CNOT3
ENST00000221232.11 missense

Scores

6
8
4

Clinical Significance

Uncertain significance criteria provided, single submitter U:1

Conservation

PhyloP100: 9.20
Variant links:
Genes affected
CNOT3 (HGNC:7879): (CCR4-NOT transcription complex subunit 3) Involved in regulation of stem cell population maintenance. Part of CCR4-NOT complex. [provided by Alliance of Genome Resources, Apr 2022]
LENG1 (HGNC:15502): (leukocyte receptor cluster member 1)

Genome browser will be placed here

ACMG classification

Classification made for transcript

Verdict is Likely_pathogenic. Variant got 7 ACMG points.

PM1
In a region_of_interest Repressor domain (size 92) in uniprot entity CNOT3_HUMAN there are 6 pathogenic changes around while only 0 benign (100%) in ENST00000221232.11
PM2
Very rare variant in population databases, with high coverage;
PM5
Other missense variant is known to change same aminoacid residue: Variant chr19-54155349-G-T is described in ClinVar as [Likely_pathogenic]. Clinvar id is 3387818.Status of the report is criteria_provided_single_submitter, 1 stars.
PP2
Missense variant in gene, where missense usually causes diseases (based on misZ statistic), CNOT3. . Trascript score misZ 3.772 (greater than threshold 3.09). GenCC has associacion of gene with complex neurodevelopmental disorder, intellectual developmental disorder with speech delay, autism, and dysmorphic facies.

Transcripts

RefSeq

Gene Transcript HGVSc HGVSp Effect #exon/exons MANE Protein UniProt
CNOT3NM_014516.4 linkuse as main transcriptc.2204G>A p.Arg735Gln missense_variant 18/18 ENST00000221232.11 NP_055331.1 O75175A0A024R4R3
LENG1NM_024316.3 linkuse as main transcriptc.*372C>T 3_prime_UTR_variant 4/4 ENST00000222224.4 NP_077292.2 Q96BZ8

Ensembl

Gene Transcript HGVSc HGVSp Effect #exon/exons TSL MANE Protein Appris UniProt
CNOT3ENST00000221232.11 linkuse as main transcriptc.2204G>A p.Arg735Gln missense_variant 18/181 NM_014516.4 ENSP00000221232.5 O75175
LENG1ENST00000222224 linkuse as main transcriptc.*372C>T 3_prime_UTR_variant 4/41 NM_024316.3 ENSP00000222224.3 Q96BZ8

Frequencies

GnomAD3 genomes
Cov.:
33
GnomAD4 exome
Cov.:
30
GnomAD4 genome
Cov.:
33

ClinVar

Significance: Uncertain significance
Submissions summary: Uncertain:1
Revision: criteria provided, single submitter
LINK: link

Submissions by phenotype

not provided Uncertain:1
Uncertain significance, criteria provided, single submitterclinical testingGeneDxNov 18, 2021Not observed at significant frequency in large population cohorts (gnomAD); In silico analysis supports that this missense variant has a deleterious effect on protein structure/function; Has not been previously published as pathogenic or benign to our knowledge -

Computational scores

Source: dbNSFP v4.3

Name
Calibrated prediction
Score
Prediction
AlphaMissense
Pathogenic
1.0
BayesDel_addAF
Uncertain
0.13
D
BayesDel_noAF
Uncertain
-0.050
CADD
Pathogenic
33
DANN
Pathogenic
1.0
DEOGEN2
Benign
0.33
T;T;.
Eigen
Uncertain
0.65
Eigen_PC
Uncertain
0.61
FATHMM_MKL
Pathogenic
0.98
D
M_CAP
Benign
0.056
D
MetaRNN
Uncertain
0.70
D;D;D
MetaSVM
Benign
-0.53
T
MutationAssessor
Pathogenic
3.0
M;M;.
MutationTaster
Benign
1.0
D;D;D
PrimateAI
Pathogenic
0.80
T
PROVEAN
Uncertain
-3.3
D;.;D
REVEL
Uncertain
0.30
Sift
Pathogenic
0.0
D;.;D
Sift4G
Uncertain
0.0050
D;D;D
Polyphen
0.95
P;P;.
Vest4
0.63
MutPred
0.58
Gain of ubiquitination at K737 (P = 0.068);Gain of ubiquitination at K737 (P = 0.068);.;
MVP
0.71
ClinPred
0.99
D
GERP RS
3.7
RBP_binding_hub_radar
0.0
RBP_regulation_power_radar
1.1
Varity_R
0.87
gMVP
0.76

Splicing

Name
Calibrated prediction
Score
Prediction
SpliceAI score (max)
0.0
Details are displayed if max score is > 0.2

Find out detailed SpliceAI scores and Pangolin per-transcript scores at spliceailookup.broadinstitute.org

Publications

No publications associated with this variant yet.

Other links and lift over

hg19: chr19-54659087; COSMIC: COSV55359884; COSMIC: COSV55359884; API